Robert Samuel Porter

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT838 Issued in ME

Practice address

21 Millett Dr
Auburn, ME 04210-4055

Phone

(207) 783-0018

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Maine Conditioning Clinic, Inc

  • Specialist
  • Auburn, ME
  • NPI 1396971511
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1114783149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPRING ST",
            "city": "MECHANIC FALLS",
            "state": "ME",
            "postal_code": "042566170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MILLETT DR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104055",
            "telephone_number": "207-783-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ROBERT",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Group of Hudson Valley VI LLC (Pinnacle Senior Living at Auburn)
• Kyna Lynne Pitula, LCPC-C
• Amy J Plummer, ABOC
• Sarah Poirier
• Regis Marie Porter, LCSW
• Possibilities Counseling Services
• Possibilities Counseling Services Inc.
• Possibilities Counseling Services, Inc.
• Pottle Hill, Inc.
• Sara Alanna Poulin, LCPC

• Athletic Trainer in Auburn, ME
• Providers in Auburn, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.